AB0185 INVESTIGATION OF THE RELATIONSHIP BETWEEN PATIENTS WITH ARTHROPLASTY AND PATIENTS WITHOUT ARTHROPLASTY FOR LOWER EXTREMITY OSTEOARTHRITIS IN TERMS OF PAIN COPING STRATEGIES, FUNCTIONAL STATUS AND QUALITY OF LIFE.
Authors: B. Malkoco, N. Elibol, V. Karatosun
Journal: Annals of the Rheumatic Diseases (2023)

<h3>Background</h3> Osteoarthritis (OA) is the most common joint disease worldwide and a major source of pain, disability, and socioeconomic cost [1]. Most of the pain or functional disability induced by these diseases can be improved by the surgery. Arthroplasty currently is considered the international gold standard of treatment the knee and hip joints osteoarthritis [2]. In the literature it was defined that pain can be exacerbated and inhibited by the psychological variable. Except the surgical trauma and social factors, the psychological factors have huge influence on the occurrence of the pain [3]. Pain coping strategies are the person's responses to manage pain and they are generally classified as active and passive strategies. While active strategies identify as controlling the pain or functioning despite the pain, passive strategies identify as withdrawing and surrendering control over the pain [4]. Pain is very effective factor on the patients' outcomes after arthroplasty. Some psychological coping strategies have been introduced to minimize the effects of pain, but there are no guidelines to follow to reduce pain, because the psychological interventions are different based on the surgery types, technique mechanism and pain specific information [5]. <h3>Objectives</h3> This study aims to investigate the relationship between patients with arthroplasty and patients without arthroplasty for lower extremity osteoarthritis in terms of coping with pain, functional status and quality of life. <h3>Methods</h3> Twenty patients with bilateral arthroplasty (mean age 62,75±12,22) and thirty-two patients with OA (mean age 58,87±9,22) were included in the study. The Pain Coping Inventory (PCI), Timed Up and Go Test (TUG), 5 Times Sit to Stand Test (FTSST), Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) and Short Form (SF)-12 Quality Life Questionnaire administered to the patients. <h3>Results</h3> Demographics were statistically similar in both the lower extremity arthroplasty group (LEAG) and osteoarthritis group (OAG). PCI passive total score, PCI passive worrying, PCI passive retreating, PCI passive resting, PCI active total, PCI active distraction and PCI active reducing demands scores were similar in the groups. PCI active pain transformation score was significantly lower in the OAG. TUG and FTSST were similar in groups. WOMAC pain, WOMAC stiffness, WOMAC physical function and WOMAC total scores were significantly higher in the OAG. SF12 PCS and SF12 total scores were significantly higher in the LEAG than in the OAG. SF12 MCS score was similar between the groups. <h3>Conclusion</h3> This study demonstrated that LEAG have better pain transformation, pain intensity, stiffness, patient reported function and physical component of quality of life compared to OAG. Surgery has been effective in improving function and reducing pain according to the results. The difference in active pain transformation in PCI between groups is thought to be related to this. However, it was determined that psychosocial approaches should be included in pain management in the rehabilitation program of patients with OA and arthroplasty. <h3>References</h3> [1] Glyn-Jones, S., Palmer, A. J. R., Agricola, R., Price, A. J., Vincent, T. L., Weinans, H., &amp; Carr, A. J. (2015). Osteoarthritis. Lancet (London, England), 386(9991), 376–387. [2] Abdelaal, M. S., Restrepo, C., &amp; Sharkey, P. F. (2020). Global Perspectives on Arthroplasty of Hip and Knee Joints. The Orthopedic Clinics of North America, 51(2), 169–176. [3] Wei, S., Li, L., Yang, X., Li, X., &amp; Jiang, Q. (2020). Psychological interventions in the pain management after hip and knee arthroplasty: A mini review. Annals of Joint, 5, 1-12. [4] Peres, M. F. P., &amp; Lucchetti, G. (2010). Coping strategies in chronic pain. Current Pain and Headache Reports, 14(5), 331–338. [5] Davidson, F., Snow, S., Hayden, J. A., &amp; Chorney, J. (2016). Psychological interventions in managing postoperative pain in children: a systematic review. Pain, 157(9), 1872-1886. <h3>Acknowledgements:</h3> NIL. <h3>Disclosure of Interests</h3> None Declared.